Duty Nurses Research Articles

The Surprise Question and Serious Illness Conversations: A pilot study.

Serious Illness Conversations aim to discuss patient goals. However, on acute medicine units, seriously ill patients may undergo distressing interventions until death. To investigate the feasibility of using the Surprise Question, "Would you be surprised if this patient died within the next year?" to identify patients who would benefit from early Serious Illness Conversations and study any changes in the interdisciplinary team's beliefs, confidence, and engagement as a result of asking the Surprise Question. A prospective cohort pilot study with two Plan-Do-Study-Act cycles. Fifty-eight healthcare professionals working on Acute Medicine Units participated in pre- and post-intervention questionnaires. The intervention involved asking participants the Surprise Question for each patient. Patient charts were reviewed for Serious Illness Conversation documentation. Ethical approval was granted by the institutions involved. Equivocal overall changes in the beliefs, confidence, and engagement of healthcare professionals were observed. Six out of 23 patients were indicated as needing a Serious Illness Conversation; chart review provided some evidence that these patients had more Serious Illness Conversation documentation compared with the 17 patients not flagged for a Serious Illness Conversation. Issues were identified in equating the Surprise Question to a Serious Illness Conversation. Appropriate support for seriously ill patients is both a nursing professional and ethical duty. Flagging patients for conversations may act as a filtering process, allowing healthcare professionals to focus on conversations with patients who need them most. There are ethical and practical issues as to what constitutes a "serious illness" and if answering "no" to the Surprise Question always equates to a conversation. The barriers of time constraints and lack of training call for institutional change in order to prioritise the moral obligation of Serious Illness Conversations.

EFFECTIVENESS OF COMPUTER-BASED NURSING DOCUMENTATION IN NURSING CARE IN HOSPITAL – A LITERATURE REVIEW

Background: Nurse population in hospitals has a greater proportion than other health workers. Nearly 60-70% of the total human resources available, occupied by nurses. In fact, 90% of the health services provided are a form of nursing service. Therefore, nursing service is a form of professional service that is the biggest indicator in realizing the quality of hospital services. One of the duties of nurses in providing nursing services in accordance with standards is to document all nursing care provided. Objective: To review journals about documenting computer-based nursing care in hospitals for the effectiveness of the preparation of nursing care. Methods: Quantitative, mixed-methods, and qualitative reviews that aim to evaluate the influence of computerized nursing documentation (eg, management, computerized decision support systems and information systems) on nursing care were included. We used the nursing care performance framework as an extraction grid and analytical tool. This model illustrates how the interplay between nursing resources and nursing services can produce changes in patient conditions. The primary outcomes included nurses' practice environment, nursing processes, professional satisfaction, and nursing-sensitive outcomes. The secondary outcomes included satisfaction or dissatisfaction with computerized nursing documentation according to nurses 'and patients' perspectives. Reviews published in English, French, or Spanish from January 1, 2000 to December 15, 2019, were considered.
 Results: A total of 5515 titles or abstracts were assessed for eligibility and full-text papers of 72 articles were retrieved for detailed evaluation. It was found that 22 reviews published between 2002 and 2015 met the eligibility criteria. Many nursing care themes (ie, indicators) were influenced by the use of computerized nursing documentation, including time management; time spent on patient care; documentation time; information quality and access; quality of documentation; knowledge updating and utilization; nurse autonomy; intra and interprofessional collaboration; nurses' competencies and skills; nurse-patient relationship; assessment, care planning, and evaluation; teaching of patients and families; communication and care coordination; perspectives of the quality of care provided; nurses and patients satisfaction or dissatisfaction with computerized nursing documentation; patient comfort and quality of life related to care; empowerment; and functional status.

Groundhog Day and theEpoché

The author focuses on impact of coronavirus on duties of nurses and doctors, people unemployed at food banks and incompetence at helm of national government Topics discussed include reflection on biopolitics and biopower inspired by the virus, post humanism which relocates bodies between complexity and simplicity and pastor Robert Jeffress who conjured with possibility of coronavirus is judgement from God

Improving psychological security and empowerment: New model for nurses toward the care of potential organ donors.

BACKGROUND:Caring for brain dead patients is the heaviest of duties for nurses, and despite tremendous stress, there are no theories/models to support nurses in this situation. This study designed a supportive model for nurses to provide care for potential organ donors.MATERIALS AND METHODS:This qualitative study was conducted in two stages. In the first stage, semi-structured interviews with 31 nurses and other stakeholders, observation and field notes continued until data saturation, (on 2018), were analyzed using continuous and comparative analysis through Corbin–Strauss method. In the second stage, theory synthesis of Walker and Avant's strategies for theory construction (2011) was used to design a supportive model/theory. The theory synthesis includes three stages: (i) selection of focal concept (the concept of “moral obligation to provide holistic care until the last minute” was selected); (ii) review of studies to identify the factors related to focal concept relevant studies (42 articles were reviewed, statements and concepts related to focal concept were then extracted and classified, and their relations were specified); and (iii) organization of concepts and statements within a relevant general and effective manifestation of the phenomenon under study which led to developing of a model.RESULTS:In this supportive model/theory, “improving psychological security and empowerment” was conceptualized within the conceptual framework. This supportive model entails three main components, including (i) informational and educational support, (ii) systematically support, and (iii) management support.CONCLUSIONS:According to the results, nurses with moral obligation to provide holistic care were faced with several challenges. Therefore, it is recommended that the healthcare system take supportive proceedings for nurses in various fields of the care for brain dead patients to resolve educational, moral, and legal challenges. This supportive model is essential for maintaining the nurses’ health, increasing the quality of nursing care and the health of potential transplant organs.

Investigating English Learning Needs of ISTM Kinshasa General Duty Nursing Students

Investigating English Learning Needs of ISTM Kinshasa General Duty Nursing Students

Organizational justice and workplace spirituality: Their relation to organizational silence behavior among nurses

Background: Justice and its implementation are one of the fundamental and innate needs of the human. Employees’ exhibit higher levels of performance, loyalty, act more than their job descriptions when they are treated fairly at the workplace. Organizational injustice negatively affects organizational silence in the workplace and using the workplace spirituality technique decreases this negative effect.Aim: To assess the relation of organizational justice and workplace spirituality with organizational silence behavior among nurses.Methods: Design: A descriptive correlational research design. Setting: The study was conducted at the University Hospital of Menoufia Governorate, Egypt. Subjects: A simple random sample consisted of 372 nurses. Tools: Data were collected by using an organizational justice questionnaire, workplace spirituality questionnaire, and organizational silence behavior scale.Results: the highest percent of the studied nurses had a moderate perception level toward organizational justice, and the mean score of the organizational justice variable was 39.37 ± 6.73. The highest mean score was the interactional justice 18.41 ± 3.16, procedural justice 11.67 ± 2.56, and then the distributive justice dimension 9.51 ± 2.21, respectively. Two-third of the studied nurses had a moderate perception level toward workplace spirituality and the highest the mean score was 27.18 ± 1.68 related to the sense of community dimension. The highest percent of the studied nurses had a high level toward organizational silence behavior and the mean score of the organizational silence variable was 38.24 ± 6.73. Also, the most type of organizational silence behavior was prosocial silence, and the most common cause of nurses silent was “supervisor support for silence factor”.Conclusions: There was a highly statistically significant positive correlation between organizational justice and workplace spirituality and there was a negative correlation between organizational justice, workplace spirituality, and organizational silence behavior among nurses.Recommendations: Nursing Managers have to respect to rights and duties of nurses in making decisions and conducted periodically meeting with their nurses to discuss and solve work problems and have to create a transparent environment in which nurses express their ideas and views to minimize the reasons that push them to remain silent.

Management of shifting duties of nurses in a secondary level hospital

Shifting responsibilities of patient care from one nurse to another is an integral part of nursing practice. There is abundant evidence that inaccurate information in hospital is the primary cause of adverse events and gaps in patient care. A cross-sectional study was conducted in 250 Bedded General Hospital, Jashore from 1st January to 31st December 2017 with the aim to assess the state of nurses shifting duty management. Total 114 nurses were selected conveniently from this hospital and interviewed with a pre-tested semi-structured questionnaire and an observational checklist was used to observe the actual scenario. Data were analyzed by using Statistical Package for Social Science version (SPSS) 24.P-value less than 0.05 were set as statistically significant. Overall shifting duty management of the hospital were categorized into good, average and poor. Among the Nurses overall shifting duty management of the hospital were found as 48.2% (55) average, 34.3% (39) poor and 17.5% (20) good. There was a significant relationship between occurrence of interruption and duration of shifting duty (p < 0.05). Proper staffing and dedicated time management for critical patient‟s information sharing is needed to reduce gaps in patient care and enhance patient safety thereby. Thus it is essential to establish a standard protocol to ensure proper management of shifting duties of nurses and every hospital should follow this.
 Asian J. Med. Biol. Res. September 2020, 6(3): 530-535

Meme Kanserli Bireylerde Manevi Bakımda Hemşirenin Rolü

Fiziksel olarak gelişen bir hastalık beraberinde sosyal ve psikolojik sorunları da getirmektedir. Benzer şekilde ruhsal ve duygusal alandaki dalgalanmalarda, fiziksel açıdan bireyde patolojik sorunlara yol açabilmektedir. Bu nedenle günümüzde hastalar sadece fizyolojik açıdan değil, kültürel, ekonomik, duygusal, manevi ve sosyal yönden de ele alınmaktadır. Hemşireler bireylerin/hastaların biyolojik, psikolojik, sosyal ve manevi durumlarına ve gereksinimlerine göre bakım vermeli ve onların manevi gereksinimlerini karşılamada aktif rol almalıdır. Kanser hastalarının tedavi sürecinde maneviyatın olumlu bir etkisi olmaktadır. Özellikle meme kanserli bireylerin tedavi süresince zor deneyimlerle baş edebilmeleri için desteklenmesinde hastalarla en sık iletişim içerisine giren ve bakımlarından sorumlu olan sağlık çalışanları arasında hemşirelere büyük sorumluluk düşmektedir. Hemşireler meme kanserli hastalara manevi destek verebilmek amacıyla; hastayı yaşama bağlayacak empati ve şefkati gösterebilmeli bunun için de öncelikle hastanın manevi öyküsünü öğrenmelidir. Hemşirelerin hastalara manevi destek sağlayabilmeleri için maneviyat konusu ve önemi hakkında farkındalık kazanmaları çok önemlidir. Bu bilgilerden yola çıkarak hazırlanan derlemede; meme kanserli bireylerde manevi bakımda hemşirelere düzen görevlerin neler olduğu ve manevi bakımın meme kanserli hastalar üzerindeki etkisi literatür bilgilerinden yararlanılarak açıklanmıştır.

Guardians of humanity? The challenges of nursing practice in the digital age.

Digital technologies have become a crucial factor in nursing. Given the fact that many tasks could also be done by robots or AI systems, the place for the nurse in this scenario is unclear. In what way and to what extent will the implementation of ever more sophisticated technology affect nursing practice? It is the aim of this paper to analyse the potential challenges of nursing practice in the digital age. The analysis is conducted through the lens of new materialism, a set of theoretical models that understand the relationship between humans and technology as dynamic and performative. According to this view, there is no prefixed essence of technology. Rather, the meaning of technology is enacted in concrete practice. The analysis shows that in past debates on technology use in nursing, the nurses' role has been defined as guardians of humanity, defending the patient against the dehumanizing effects of technology. This role has been transferred to the digital age, where it is the duty of nurses to cushion the negative effects of digital technology. As an alternative to this outdated role, nurses should be included in processes of technology design and policymaking. Enabling nursing professionals to shape the circumstances of a digitally enhanced holistic practice may empower their status within the healthcare system and also benefit the patient by contributing to a more person-centred care.

Atuação do enfermeiro em laboratório de análises clí­nicas

Objetivou-se descrever as atribuições dos enfermeiros que atuam em um laboratório de análise clí­nica da grande Florianópolis, do estado de Santa Catarina, Brasil. Trata-se de um estudo qualitativo, de campo, de caráter descritivo - exploratório. O desenho metodológico foi executado em 5 fases: fase 1: autorização da pesquisa; fase 2: validação do instrumento de coleta de dados por especialistas na área; fase 3: entrega do termo de consentimento livre esclarecido aos sujeitos da pesquisa, o público alvo foram os enfermeiros lotados no setor de laboratório de análises clí­nicas; fase 4: coleta de dados após aplicação do questionário aberto contendo 19 questões; e fase 5: recolhimento dos questionários e interpretação e análise dos dados. O estudo demonstrou que o enfermeiro possui atribuições nas três fases distintas do processo, desenvolvendo atribuições privativas do Enfermeiro, tanto na parte assistência quanto na parte gerencial. Além disso, evidenciou-se a importância de utilizar instrumentos que sustentem suas práticas para a tomada de decisão e a importância da busca de conhecimento constante nessa área que cada vez mais o profissional Enfermeiro vem sendo inserido.

Into the red zone: behind the mask of a cardiology nurse fighting COVID-19

Into the red zone: behind the mask of a cardiology nurse fighting COVID-19

37. RAPID CYCLE DELIBERATE PRACTICE SIMULATION FOR RESIDENT EDUCATION AT A COMMUNITY HOSPITAL SITE

Background Community hospitals offer opportunity for increased pediatric resident autonomy yet may require more direct use of resuscitation skills than more resource-rich settings. Rapid cycle deliberate practice (RCDP) simulation teaches critical skill mastery using feedback-replay loops and can be used for resident education. Objective: We sought to establish a RCDP simulation program and improve pediatric residents’ preparation to handle medical emergencies at our community hospital training site. Methods We designed and conducted high fidelity RCDP simulation every 2 weeks on the community hospital ward. RCDP led by trained faculty and chief residents focused on Pediatric Advanced Life Support skills and activating clinical support for pediatric respiratory distress. Resident physicians on rotation at the community hospital (Bridgeport) and on duty nurses participated. We later asked all 35 resident participants to complete an anonymous web-based survey to assess non-simulated and simulated pediatric code experience. 2 open-ended questions assessed RCDP experience and its impact on the community hospital rotation. We performed descriptive statistics and qualitative thematic analysis by 2 reviewers to identify themes of residents’ experiences. Results 77% (n=27) of residents responded. 68% had participated in at least one non-simulated pediatric code during residency; 43% in 1-2, 18% in 3-5, and 7% in >5. Yale New Haven (YNH) PICU was the most common location of code participation (47%, n=14), 17% (n=5) at the Bridgeport ED, 13% (n=4) at the YNH Pediatric ED, 7% (n=2) on a YNH ward, and 7% (n=2) on the Bridgeport ward. Only 1 resident had ever acted as team leader in a pediatric code. 4 major themes of resident experience were identified: practical community-hospital specific preparation, teamwork, improved confidence, and helpful formative feedback. Conclusions We established a community hospital-focused RCDP simulation program. Residents report that RCDP provided relevant, practical preparation and improved confidence in the ability to deal with respiratory distress at the community hospital site.

간호사의 환자기록관리 업무에 대한 업무중단과 멀티태스킹 패턴 분석: 시선 추적 데이터를 중심으로

Objective: The purpose of this study is to derive the practical aspects and potential problems of the charting, and increase the efficiency of nursing work.BRBRBackground: Since the duties of nurses have increased over the years, the frequency of their work interruptions has increased as well. Charting in daytime is a task that is frequently interrupted, and performing multitasking to handle the interruption may cause distraction and memory load, leading to various errors. Therefore, it is necessary to analyze the interruptions and multitasking patterns during charting.BRBRMethod: This study utilizes the eye-tracker to analyze the charting patterns of nurses who perform multitasking when interrupted by multiple causes of interruption and negative interruptions. We analyzed 4.13 hours of charting data from three daytime nurses.BRBRResults: During charting, interruptions occurred 155 times in total, of which 37.42% were by multitasking. Both interruptions and multitasking were caused most frequently by nurses, and half of the interruptions were handled through multitasking. Interruptions and multitasking caused by telephone followed after, but the rate of negative interruptions was low as 15.39%; this pattern was found because telephone waiting time was also included. On the other hand, family members and physicians have not had many interruptions, but most of them have been performing multitasking even when not related with charting.BRBRConclusion: If an interruption occurs during charting, it must be handled by monotasking, and in the case of negative interruptions involving irrelevant tasks, charting has a higher work priority. However, in some situations where tasks involving patients

Is Managed Care Better Care? The Effects of Medicaid Managed Care on Children With Medical Complexity.

Children with disabilities in Texas began to receive services through managed care Medicaid on November 1, 2016.1 Managed care organizations (MCOs) are often charged with the aim to reduce costs, particularly for the small but high health care–using population of children with medical complexity (CMC). We describe a child whose loss of services through managed care Medicaid resulted, ironically, in unnecessary use of health care resources. “John” was a 15-month-old male infant with a constellation of congenital anomalies, global developmental delay, insufficient oral intake with dysphagia necessitating gastrostomy tube (GT) placement, facial dysmorphisms, a bicuspid aortic valve, bilateral hearing loss, visual impairment, seizures, and a pineal gland cyst. Because of his complex medical needs, John’s primary care physician documented a medical necessity for skilled nursing and ordered 56 hours/week of private duty nursing (PDN) services through a home health nursing agency. The Medicaid MCO involved in John’s case initially approved only 45 hours/week. This decision led to multiple appeals, peer-to-peer discussions, and a fair hearing. Ultimately, the MCO upheld the 45 hours/week ruling. Despite a decrease of only 11 hours/week in nursing hours, the mother relied on John’s family members, who were not as familiar with the necessity and administration of GT feeds, to care for him while she continued to attend school. Subsequently, John presented to the emergency department in September with a reported 2-month history of weight loss and developmental regression. His mother and home health habilitative therapists noted regression in gross motor milestones. Three days before admission, he experienced 6 episodes of emesis, fussiness, irritability, and weakness, and his mother noted a weight loss of 3 pounds. During this time, his mother reported several episodes of …

Eliminating the Hawthorne Effect: Leveraging Existing Resources for a Novel Approach to Hand Hygiene Auditing

<h3>Background</h3> According to the Centers for Disease Control and Prevention healthcare-associated infections (HAI) affect 1 in 31 hospitalized patients. Despite the correlation between hand hygiene adherence and HAI reduction, compliance in hospitals is less than 40%. The gold standard method for a robust hand hygiene compliance program is to directly observe staff. However this is labor intensive and results can be confounded by the Hawthorne Effect. <h3>Methods</h3> Existing staff and technology were leveraged in novel ways to improve observation power. Infection prevention auditors were augmented by staff recruited from accreditation, quality and light duty nursing. Formalized auditor training fostered inter-rater reliability. Inpatient hallway security camera software was used by decentralized auditors to complete observations across all shifts. A digital hand hygiene survey was designed and implemented for real-time data entry. Total observation counts, compliance and trends were communicated to leadership and staff. Competition and reward recognition were used to facilitate change. A two-month pilot on select units was completed in 2018. This study was then expanded to all inpatient units and is ongoing. <h3>Results</h3> A total of 20 trained auditors (11 outside of infection prevention) have participated in this program. Over 1,000 observations per reporting period were recorded; this increased to over 2,000 monthly observations since September 2019. Hospital hand hygiene compliance has increased from 39% in 2018 to above 84% in 2019. <h3>Conclusions</h3> Current staff and existing security camera software support a robust hand hygiene direct observation program while minimizing resources invested and preventing the Hawthorne Effect. Ongoing data feedback to leadership and staff, competition, and staff recognition have maintained hand hygiene compliance rates above 84% exceeding the CDC 80% compliance threshold for significantly decreasing HAI risk.

Identification of Nursing Problems in Hospitalized Patients with Diabetes Mellitus

Introduction: One of the duties of nurses when managing patients with diabetes mellitus is establishing a nursing diagnosis. This study aimed to identify the nursing problems that arise in hospitalized patients with diabetes mellitus. Methods:A descriptive analytical study involving 100 medical records of inpatients with diabetes mellitus from June, July and August 2019 was conducted. The data collection was done through an observation sheet according to the Indonesian Nursing Diagnosis Standards (SDKI). Results: There were 30 types of nursing problems identified with the total number of nursing problems found being 332. The most frequent nursing problems were D.0142 Risiko Infeksi (Risk of Infection) 30.12%, D.0027 Ketidakstabilan Kadar Glukosa Darah (Instability of Blood Glucose Levels) 14.16%, D.0011 Risiko Penurunan Curah Jantung (Risk of Decreased Cardiac Output) 12.65%, D.0017 Risiko Perfusi Serebral Tidak Efektif (Risk of Cerebral Perfusion Not Effective) 8.73%, D.0037 and Risiko Ketidakseimbangan Elektrolit (Risk of Electrolyte Imbalance) 4.52%. Conclussion: This research found there to be 30 variations of nursing problems among the hospitalized patients with diabetes mellitus with the most frequent nursing problems in the physiological category and nutrition and fluid sub-categories.

HASTANEDE ÇALIŞAN HEMŞİRELERİN HEMŞİRELİK DIŞI GÖREVLERİ VE NEDENLERİNİN İNCELENMESİ

Amaç: Çalışma; hemşirelerin hemşirelik dışı yaptıkları görevleri ve bu görevleri yapma nedenlerini belirlemek amacıyla gerçekleştirildi.Yöntem: Araştırmada Malatya il merkezindeki devlet ve üç özel hastanede çalışan toplam 1750 hemşireye dijital ortamda anket gönderilmiş, araştırmaya katılmayı kabul eden ve cevap veren toplam 824 (%47.08) hemşire ile araştırma tamamlanmıştır. Araştırmada evrenin tümüne ulaşılmaya çalışılmış, anketi cevaplamaya gönüllü olanlar araştırma kapsamına alınmıştır. Veriler, demografik özelliklerle ilgili yedi soru, görev yaptığı birimlerde hemşirelik dışı yaptıkları görevler ve bu görevleri yapma nedenlerini içeren çoktan seçmeli ve açık uçlu altı sorudan oluşan anket formu ile toplanmıştır. Verilerin değerlendirilmesinde sayı ve yüzdelik hesaplama kullanılmıştır.Bulgular: Çalışmada hemşirelerin hemşirelik dışı görevleri kayıt ve dokümantasyon hizmetleri açısından değerlendirildiğinde, %68.7’sinin laboratuvar istemi yaptığı, klinik destekler açısından değerlendirildiğinde %36.8’inin ise dikiş attığı tespit edilmiştir. Çalışmada hemşirelik dışı görevleri yapma nedenleri ve bu görevlerin yapılmadığında neler olabileceği sorgulandığında ise; hemşirelerin %41.9'unun mobinge maruz kalma korkusu yaşadığı saptanmıştır.Sonuç: Hemşirelerin büyük çoğunluğunun görev, yetki ve sorumluluklarını bilmelerine rağmen yönetici ve doktorlar tarafından mobinge maruz kalma korkusuyla kendi görevleri dışında çoğunlukla order yazdıkları, hastane otomasyon sisteminden doktor istemleri ve laboratuvar istemleri yaptıkları tespit edilmiştir.

Providing culturally appropriate care in the care home setting

Nursing and Residential CareVol. 22, No. 6 CommentProviding culturally appropriate care in the care home settingAysha MendesAysha MendesFreelance journalist, specialising in healthcare and psychologySearch for more papers by this authorAysha MendesPublished Online:17 May 2020https://doi.org/10.12968/nrec.2020.22.6.5AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InEmail View article References Battle DE. Communication disorders in a multicultural and global society. 4th edn. Transcultural Nursing. Missouri: Mosby Elsevier; 2012. https://doi.org/10.1016/C2009-0-40610-X Crossref, Google ScholarEasterbrook C, Maddern G. Porcine and bovine surgical products. Jewish, Muslim, and Hindu perspectives. Arch Surg. 2008; 143(4):366–370. https://doi.org/10.1001/archsurg.143.4.366 Crossref, Google ScholarHall L. A guide to stoma care for Hindu patients. Gastrointestinal Nurs. 2017; 15(7):16–17. https://doi.org/10.12968/gasn.2017.15.7.16 Link, Google ScholarHall L. A guide to stoma care for Sikh patients. Gastrointestinal Nurs. 2018; 16(7):24–25. https://doi.org/10.12968/gasn.2018.16.7.24 Link, Google ScholarLedger SD. The duty of nurses to meet patients' spiritual and/or religious needs. Br J Nurs. 2005; 14(4):220–225. https://doi.org/10.12968/bjon.2005.14.4.17607 Link, Google ScholarMendes A. Culture and religion in nursing: providing culturally sensitive care. Br J Nurs. 2015; 24(8):459. https://doi.org/10.12968/bjon.2015.24.8.459 Link, Google Scholar FiguresReferencesRelatedDetailsCited byNavigating colour, racism and unconscious bias in the care homeAysha Mendes21 July 2020 | Nursing and Residential Care, Vol. 22, No. 8 2 June 2020Volume 22Issue 6ISSN (print): 1465-9301ISSN (online): 2052-2932 Metrics History Published online 17 May 2020 Published in print 2 June 2020 Information© MA Healthcare LimitedPDF download

Senior high school students' opinions on the nursing profession: A ten-year comparative study.

To analyse the changes in senior students' opinions about the nursing profession over a 10-year period. A descriptive and comparative study. Data were collected using a questionnaire form, which was completed by 400 senior high school students in Çankiri city center during 2007-2008 (Group 1) and 2017-2018 (Group 2) academic years. Compared with 10years ago, more students referred to nurses as 'knowledgeable, concerned, and tolerant'. There were fewer students who knew the duties of nurses. There were significantly fewer students who wanted to be nurses and many who wanted to be nurses in both groups said it was 'because they love nursing'. Compared with 10years ago, more students said they wanted to be nurses because their parents wanted them to be nurses, but fewer students said they wanted to be nurses because they love people. There were more students who did not want to be nurses 'because it is tiring and entails irregular work hours'. However, more students said that they would like to go into nursing if the salary was satisfactory. The study showed that, compared with 10years ago, more students defined nurses as knowledgeable and professional. They reported they did not currently wish to enter the nursing profession, but that they would do so if the wages were high. This study aims to determine the change in young individuals' opinions about the nursing profession in Turkey over a 10-year period. Due to poor work conditions in the nursing profession, most of the students did not want to be nurses, but their opinions might change if nurses' salaries were satisfactory. Academicians and nurses play an important role in introducing the nursing profession to students when they choose their career and informing high school teachers, who advise these students.

The Russian Red Cross Society and staff replenishment of sisters of mercy on the eve of the First World War (1908–1914)

This article deals with the problem of recruiting sisters of mercy by the Russian Red Cross Society (also RRCS, Red Cross) in 1908-1914s. In case of war, Red Cross had to send sisters of mercy to its own institutions and to medical institutions of the military Department. The war ministry was developing a mobilization plan, which included a plan for the deployment of medical facilities. The ministry sent this plan to the administration of the Red Cross. In accordance with the request of the ministry, the RRCS strengthened its efforts to attract new staff of sisters of mercy. This activity led to certain results. On the eve of the war, there was a number of sisters of mercy that were required to replenish the medical institutions of the Red Cross and the military Department. That means that according to the pre-war plan, in the matter of creating a cadre of sisters of mercy, the RRCS was ready for the war. However, the Great War took on a wide scale, a situation which the army, the industry, and the medical service were not prepared for. The Russian Red Cross Society was forced to quickly open new medical institutions and to urgently train new personnel. Sometimes the duties of nurses were performed by those who did not have the necessary education.